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this is from NNY's link:
Tom Rawlings, the state’s child advocate, says his office plans to conduct an independent review of the case.
“We will be pulling records and interviewing individuals who were managing this child’s case,” he said, adding that his office’s aim is not to pass judgment but to see “how the practices and policies in this case may have affected the outcome.”

Why DON'T they pass judgement? It is obvious to me how "practices and policies" affected the outcome!